Purchase this article with an account.
Florin Grigorian, Adriana P. Grigorian, Scott Olitsky; The Effect of Introduction of iCare Tonometer in the Pediatric Ophthalmology Clinic on Number of Examinations Under Anesthesia. Invest. Ophthalmol. Vis. Sci. 2011;52(14):679.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To demonstrate that the introduction of iCare rebound tonometry in a pediatric ophthalmology clinic resulted in less need for performing examinations under anesthesia to evaluate glaucoma in children.
Retrospective, comparative study of the numbers of EUA’s and office visits when IOP was checked in 3 time periods: before introduction of iCare rebound tonometer, during the learning period and after the rebound tonometry was well established. The EUA’s operative reports in these periods were reviewed. The number of EUA’s done to evaluate the IOP for glaucoma management was collected. The clinic visits of patients with diagnosis of glaucoma were reviewed and the visits when IOP was recorded were collected.
87 patients were enrolled. 49 patients met criteria in the first period and 58 in the third period. The average age for the first period was 4.2 years, and for the third period was 4.9 years (P-value=0.3). The numbers of EUA performed before and after the introduction of iCare was 58 and 19 respectively (P-value=0.0002). The number of office visits when IOP was measured increased from 37 to 151. The middle period has intermediate data and suggests a trend and also a short learning period.
The use of iCare tonometry decreased the need of EUA to evaluate children with glaucoma. This decrease not only limits the need for general anesthesia in young children but increases operating room efficiency for the surgeon and families.
This PDF is available to Subscribers Only